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Piles, Fissure & Fistula Treatment in Bangalore - You Don't Have to Keep Living With This
These are among the most common surgical conditions in India - and among the most delayed, because patients feel embarrassed. Dr. Sajeet sees these cases at Aveksha Hospital, Yalahanka and Manipal Hospital, Hebbal every week. There is nothing unusual, and nothing to be ashamed of.
- Laser & Minimally Invasive Procedures
- Day-Care Surgery - No Overnight Admission
- Aveksha Hospital, Yalahanka
- Manipal Hospital, Hebbal
- ARC, Malleshwaram
- Even Hospitals, Madhava Nagar
Understanding the 3 Conditions
Piles, Fissure and Fistula - Clearly Explained
Understanding the 3 Conditions
Piles (Haemorrhoids)
Swollen blood vessels inside or around the anus. Symptoms: bleeding during bowel movements, bright red blood on toilet paper, itching, discomfort, or a lump near the anus. Grades 1-2 are managed without surgery. Grades 3-4 typically require a procedure.
Fissure
A small tear in the lining of the anal canal - usually caused by passing hard stools. Main symptom: sharp pain during and after bowel movements, often described as "like passing glass." Acute fissures may heal with medication. Chronic fissures lasting more than 8 weeks usually need surgery.
Fistula
An abnormal tunnel between the inside of the anal canal and the skin outside. Usually starts as an abscess that partially drains but doesn't heal properly. Symptoms: recurring discharge, pain, and sometimes fever. Fistulas almost never heal without surgery.
Patients from Yelahanka, Thanisandra, Jakkur, and Nagawara regularly visit Aveksha Hospital, Hebbal for these procedures - many are surprised to find same-day discharge is possible.
How Dr. Sajeet Treats Each Condition
Piles - Laser Haemorrhoidoplasty & Stapler
Laser haemorrhoidoplasty (LHP): a laser fibre is inserted to shrink the haemorrhoid from inside. No cuts, no stitches, minimal pain, day-care. For Grade 3-4 piles, stapler haemorrhoidopexy (MIPH) repositions the prolapsed tissue - significantly less painful than conventional haemorrhoidectomy.
Fissure - Lateral Internal Sphincterotomy (LIS)
A small cut in the internal anal sphincter to reduce spasm and allow the fissure to heal. Done under local or general anaesthesia. 15-20 minutes. Most patients home within a few hours. Success rate above 90%.
Fistula - LIFT Procedure & Fistulotomy
LIFT: the fistula tract is tied off and divided without cutting sphincter muscles - preserving continence. Fistulotomy is used for simple, low-lying fistulas. Dr. Sajeet will determine the appropriate procedure after examination and imaging.
Patient Questions
Frequently Asked Questions
What to pack What do I need for day-care anorectal surgery at Aveksha Hospital?
Loose, comfortable clothing - soft cotton trackpants, avoid jeans. Bring a sanitary pad or gauze for post-procedure discharge. Someone to drive you home. If coming from Devanahalli or Bagaluru, plan for an early morning arrival. Dr. Sajeet's team will provide a take-home care kit with sitz bath instructions, stool softeners, and wound care guidance.
Time off work How long do I need off work for piles, fissure or fistula surgery in Bangalore?
Piles, laser or stapler: desk work in 3-7 days. Physical or standing work: 7-10 days. Fissure, LIS: desk work in 5-7 days. Fistula: 1-2 weeks desk work, 2-4 weeks physical work. If your job involves prolonged sitting - common in Bangalore's tech and office belt - a cushion and regular standing breaks help significantly in the first two weeks.
Driving When can I drive after piles or fissure surgery in Bangalore?
Most patients drive within 5-7 days - once off prescription pain medication and comfortable in the seated position. Avoid long drives for the first 2 weeks. If you are commuting daily from Yelahanka or Devanahalli to central Bangalore, plan for at least one week of rest before resuming.
Gym and exercise When can I go back to the gym after piles, fissure or fistula surgery?
Walking encouraged from day 2. Light gym, upper body with no squats or core pressure, from week 2. Full gym including squats, running, and cycling from week 4-6 for piles and fissure. Fistula patients wait for wound healing confirmation from Dr. Sajeet before resuming heavy exercise.
Diet What should I eat after piles, fissure or fistula surgery?
The goal is soft, easy-to-pass stools - hard stools and straining are the enemy of post-operative healing. High fibre diet: fruits, vegetables, oats, dal, whole grains. Drink 3 litres of water per day. Take prescribed stool softeners for 2-3 weeks. Avoid refined flour, maida, excess white rice, alcohol, and spicy food for the first 3-4 weeks. The fear of the first bowel movement after surgery is universal - take your stool softeners and it will be far easier than expected.
Is this normal? I'm embarrassed - is it normal to see a doctor for these problems?
Completely normal, and very common. Piles affect approximately 75% of people at some point in their lives. Dr. Sajeet treats these conditions at Aveksha Hospital, Hebbal routinely - often multiple cases per week. The consultation is confidential and professional. Patients from across North Bangalore - Yelahanka, Thanisandra, Nagawara, and beyond - visit for exactly these concerns. The only mistake is waiting too long.
Bleeding There is a lot of bleeding. Should I be worried?
Bright red blood on toilet paper after a bowel movement is the classic presentation of piles - it looks alarming but is almost always from the surface of the haemorrhoid. However, any rectal bleeding should be evaluated, not assumed. If you are over 45, or if the bleeding is dark or mixed with stool, Dr. Sajeet may recommend a colonoscopy before treating piles.
Did something go wrong? I had surgery but still have pain or discharge. Did the surgery fail?
Fistula and fissure wounds heal from inside out - ongoing discharge or mild discomfort during this period is expected. Post-operative sitz baths are critical. Pain that is worsening after day 3, fever, or increasing pus should be reported to Dr. Sajeet at Aveksha Hospital, Hebbal. At the follow-up, he will assess healing progress.
Will it come back? Can piles come back after laser surgery?
Yes - if the underlying causes, such as constipation, low fibre diet, and prolonged straining, are not addressed. With lifestyle changes, recurrence is uncommon. Fissures: very low recurrence after LIS, less than 5%. Fistulas: recurrence varies by complexity and may need staged treatment.
Insurance Are piles and fissure surgeries covered by insurance in Bangalore?
Most health insurance policies cover medically necessary surgical procedures. However, for elective and non-emergency conditions, many policies have a waiting period (commonly up to 2 years, depending on the insurer and plan). Coverage, cashless eligibility, co-payments, exclusions, and waiting periods vary between policies. Dr. Sajeet's team can help verify your insurance benefits, pre-authorisation requirements, and expected coverage before surgery. Please bring your insurance card and policy details to your consultation for eligibility verification.
Yes. Procedures such as haemorrhoidectomy, sphincterotomy, and fistula surgery are commonly covered by health insurance when medically indicated. Coverage for laser procedures may vary depending on the insurer and policy. Many policies include waiting periods for elective conditions, so coverage should always be verified beforehand. Dr. Sajeet's team can help check your policy benefits and pre-authorisation requirements.
Confirm insurance empanelment and laser procedure coverage at Aveksha Hospital.
You've Waited Long Enough
Let's Fix This.
Dr. Sajeet's clinic at Aveksha Hospital, Hebbal is accessible from Yelahanka, Thanisandra, Nagawara, Jakkur, Kogilu, and RT Nagar. The consultation is confidential. The procedure is day-care. Most patients wonder why they waited so long.